NUR 336 PEDS EXAM 3 ARIZONA COLLEGE LATEST ACTUAL EXAM STUDY GUIDE COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

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NUR 336 PEDS EXAM 3 ARIZONA COLLEGE LATEST

2023-2024 ACTUAL EXAM STUDY GUIDE COMPLETE

QUESTIONS AND CORRECT DETAILED ANSWERS

WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

Considerations when administering immunizations pg. 513

• Immunizationsside effects

o Fever,soreness, redness at the injection site

• Education:

o Tylenol and Motrin as needed for pain or fever.

o These are no longer recommended because of potential to decrease immune

reaction to vaccine.

o Warm compress to injection site

o Mild illness is NOT considered a contraindication for vaccines

• Moderately – severe ill with/without fever better to hold the immunization until later

• Contraindications:

o Previous severe allergic reaction to any component of the vaccine

• Legal caregivers MUST receive a vaccine information status(VIS) and available in many

languages

• Adverse effects must be reported to CDC: vaccine adverse event report

• Documentation: MUST include lot number of the vaccine, route, site and date

o Copies of permission forms must be kept on file, manufacturer, sources of

vaccine, date of VIS form.

• Recommendationsforstudying:

o Each age and what vaccine are due

Immunization success:

• Vaccines have significantly decreased the incidence of many communicable disease

• Continued vaccination is essential to prevent the loss of individual and herd immunity

required to prevent this communicable disease.

Assessment:

Clinical pearl in 521

• Route of immunizations:

o IM -> DTaP, DT, Tdap, Hib, Hep A, Hep B, HPV, flu, meningococcal conjugate, PCV

• IM or subcutaneous

o PPSV, IPV

• Subcutaneous

o MMR, varicella,

• Oral

o Rotavirus

Safe and effective Nursing: Clinical Pearl pg 522 _> LOOK AT THIS

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Nurse Administration in ATI

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• IM: What muscle what age?

o Vastus Lateralis or ventrogluteal in infants and young children

o Deltoid in older children and adolescents

• Subcutaneous: where?

o Outer aspect of the upper arm or anterolateral thigh

• Relevant needle size?

o Based on route, site, age and amount of medication

VACCINES:

• Hep B

• Dipthera, Tetanus, Pertussis / DT

• Rotavirus

• Influenza

• Measles, mumps, rubella (MMR)

• Varicella

Hep B

• Preventing Hepatitis B

• Side effects: Tenderness at the injection site, temp 99.9 or higher

• Contraindications: Anaphylactic allergy/hypersensitivity to yeast, allergy to previous

vaccine

• Nursing considerations: If a dose is missed the series does not have to be restarted.

• Precautions: infants less than 2Kg (4lbs, 6.2oz)

o This vaccine is administered to all newborns

o Three doses of hepatitis are given before 2 years: birth, at 1 to 2 months and at

9-12 months

Rotavirus:

• Preventssevere diarrhea and dehydration

• Side effects: irritability, mild temporary diarrhea or vomiting, intussusception (intestine

folding in)

• Contraindications: Intussusception, SCID, GI distress

• Nursing consideration: This is a live vaccine.

o Administered orally buccal area of the mouth

o If any dose in the series is either RotaTeq or unknown, default to 3 dose series

• Two vaccines are available for rotavirus

o Rotarix: (2 dose) -> given 2 and 4 months

o RotaTeq (3 dose) -> given 2,4, and 6 months

• Minimum age is 6 weeks

• Immunocompromised should NOT receive this vaccine

Influenza INACTIVATED vaccine

• Preventing: seasonal flu